David Chen Email & Phone Number

Blue Bell, Pa

Conshohocken, Pa

Our team is responsible in designing and planning scale-able recovery operation frameworks that are customized for each of our valued health insurance clients. I am responsible in understanding our client's claims data structures and ensuring a accurate translation into our audit database applications.Work with clients to understand their reimbursement methodologies, products, claim systems, and provider contracts.Work with our data analyst to create effective and intelligent recovery reports for our auditors.Collaborate with our management team to develop strategic recovery solutions for our clients.Assist our client's network team in developing cost effective contracts.

Blue Bell, Pa

Supported integrations of supplier Omniclaim to current existing suppliers program.Implemented performance management system project designed to verify the clinical accuracy of claims utilization.

Blue Bell, Pa

Analyzed and created reporting requirements for vendors and plan sponsors.Managed Implementation of PPO High Tech Radiology program, resulting in $1.2 million cost avoidance.Managed all Radiology MSO capitation setup for regional contracts, resulting in $2.6 million dollar cost savings to National Network Ancillary contracts.Worked with legal and compliance to ensure communication letters were within state standards.

Blue Bell, Pa

Responsible for evaluating various national contract settlements and reconciliations.Participated in NCO Recovery committee to improve recovery operations and introduce new recovery opportunities.Managed implementation of PPO Lab Leakage project.